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68 yr. man with -4.9 in L4!

Osteoporosis & Bone Health | Last Active: Mar 22, 2023 | Replies (38)

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@fearfracture

Go to the betterbones.com website and on the site search for osteoporosis tests. Dr. Brown has posted a list of tests that should be run to try to figure way your numbers might be so low. Additionally if you go to https://www.medimapsgroup.com/find-centers-with-tbs-osteo/ you can find an imaging center with DEXA w/ TBS capabilities in your state. TBS (trabecular bone score) give a better indication of bone quality. Most imaging centers in the US use either Hologic or GE Lunar scans; however, REM scanners are popular in Europe. The company that make it, Echolight, opened US HQs about a year ago and there are a few places in the US that have REM machines (I know there is one in NC and think there is one in NJ) I have a list if you want it let me know.

Why are you waiting 3 yrs for another DEXA? If you are being treated for osteoporosis you can have DEXAs annually covered by health insurance.

Did you doctor do BTM (bone turnover marker) testing before prescribing meds? You want to get a baseline before you start. If s/he didn’t just know most doctors who claim to treat osteoporosis, including mine, really only mean that they know how to write prescriptions for osteoporosis meds.

You might be interested in this osteoporosis online event. Lots of helpful info https://morebonehealth.byhealthmeans.com/?idev_id=30380

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Replies to "Go to the betterbones.com website and on the site search for osteoporosis tests. Dr. Brown has..."

Million thanks--this is very helpful.

My PCP gave me an Rx for Fosamax and told me we'd scan in 3 years. I thought it crazy with -4.9 lumbar. She is used to treating PM-OP and saw no reason to treat a man differently. There was nothing remarkable in my blood, she didn't think I needed any more tests or scans. Brilliant to refer for the scan, less so in response. I seem to have convinced her that I need to find out why I had this, before a treatment regime. She has agreed to refer me to an endo. A month on, I am still struggling to even get consultation!